Active NPI 1164415188 Individual Practitioner Male Practitioner

Dr. Howard Karpoff , MD

Surgery • Middletown, NY

✓ Accepts Medicare Assignment Telehealth Available

Professional Overview & Biography Verified Profile Summary

Dr. Howard Karpoff, MD is a certified Surgery practicing in Middletown, NY. With approximately 35 years of clinical experience since graduating from New York University School Of Medicine in 1991, Dr. Karpoff delivers high-quality medical care to the local community at 95 CRYSTAL RUN RD.

Dr. Karpoff is affiliated with Crystal Run Healthcare Physicians Llp and accepts Medicare assignment . Telehealth and virtual consultation options are available for eligible patients.

Frequently performed procedures and clinical services include established patient outpatient office visit, visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's, new patient outpatient office visit. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

95 Crystal Run Rd

Middletown, NY 109417001

Telephone 8457036999

Fax 8457036297

Associated Practice Facility / Clinic

🏢 Crystal Run Ambulatory Surgery Center Of Middletown, Llc Facility NPI 1922230853

Medicare Profile & Education

Medical School

New York University School Of Medicine

Graduation Year

1991

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

Telehealth Services Available

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery in Middletown, NY

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

35 Yrs +15.2 yrs vs City Avg

City Avg: 19.8 Yrs

State Avg: 27.8 Yrs

Regional Practice Density

24 Specialists

Practicing in Middletown, NY (2269 Statewide)

Telehealth Adoption Rate

8.3% Regional Adoption

✓ Offers Virtual Consultations

Medicare Pricing Discount

72.2% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Karpoff (35 Years) 35 Yrs

Middletown Specialty Average (19.8 Years) 19.8 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	1,876	1,050	$235.00	$97.26
G2211 Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's	731	499	$47.87	$17.37
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	94	94	$291.81	$117.11
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	91	91	$425.00	$179.30
36415 Insertion of needle into vein for collection of blood sample	66	62	$18.55	$8.65
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	64	31	$200.00	$82.79
36561 Insertion of central venous catheter and implanted device for infusion beneath the skin, patient 5 years or older	48	47	$1132.00	$337.91
77001 Fluoroscopic guidance for insertion, replacement or removal of central venous access device	46	46	$65.00	$18.76
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	38	35	$385.00	$137.59
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	36	30	$329.86	$134.39
19301 Partial removal of breast	34	32	$2347.06	$720.76
85027 Complete blood cell count (red cells, white blood cell, platelets), automated test	34	34	$19.00	$6.34
81003 Automated urinalysis test	34	33	$10.00	$2.20
80053 Blood test, comprehensive group of blood chemicals	30	30	$36.00	$10.35
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	26	26	$565.00	$236.47
82565 Blood creatinine level	24	22	$15.00	$5.02
84520 Urea nitrogen level to assess kidney function	24	22	$13.00	$3.87
38900 Lymph node imaging during surgery	24	24	$468.75	$150.13
78195 Imaging of lymphatic tissue and lymph node	23	23	$770.00	$57.72
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	21	21	$510.00	$193.33
12032 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm	21	20	$1040.00	$180.71
11606 Removal of cancer skin growth of body, arms, or legs, more than 4.0 cm	19	17	$967.89	$295.47
38525 Biopsy or removal of lymph nodes of under the arm, open procedure	18	18	$1615.00	$287.73
11406 Removal of growth (4.0 centimeters) of the trunk, arms, or legs	15	13	$1090.00	$301.40
12032 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm	12	12	$670.00	$102.20

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	1,850	1,042	$235.00	$97.98
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	87	87	$425.00	$179.48
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	75	75	$290.00	$122.00
36415 Insertion of needle into vein for collection of blood sample	66	61	$18.00	$8.40
U0003 Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high throughput technologies as described by cms-2020-01-r	61	57	$250.00	$73.50
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	60	32	$200.00	$85.13
U0005 Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, cdc or non-cdc, making use of high throughput technologies, completed within	60	56	$80.00	$24.50
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	54	53	$385.00	$138.42
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	47	47	$548.72	$239.15
80053 Blood test, comprehensive group of blood chemicals	47	47	$36.00	$10.35
36561 Insertion of central venous catheter and implanted device for infusion beneath the skin, patient 5 years or older	45	45	$1132.00	$364.16
77001 Fluoroscopic guidance for insertion, replacement or removal of central venous access device	45	45	$65.00	$19.39
81003 Automated urinalysis test	42	41	$10.00	$2.20
85027 Complete blood cell count (red cells, white blood cell, platelets), automated test	41	41	$19.00	$6.34
19301 Partial removal of breast	40	38	$2280.00	$735.88
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	33	29	$320.00	$138.78
38900 Lymph node imaging during surgery	29	29	$434.48	$152.75
78195 Imaging of lymphatic tissue and lymph node	28	28	$770.00	$59.56
38525 Biopsy or removal of lymph nodes of under the arm, open procedure	28	28	$1530.00	$302.09
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	19	19	$510.00	$194.20
84520 Urea nitrogen level to assess kidney function	17	15	$13.00	$3.87
82565 Blood creatinine level	16	15	$15.00	$5.02
19125 Removal of breast growth, open procedure	15	15	$1410.00	$504.90
G0008 Administration of influenza virus vaccine	12	12	$45.00	$33.11
36590 Removal of peripheral venous catheter for infusion	12	12	$850.00	$248.38

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	1,754	984	$231.63	$99.81
U0005 Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, cdc or non-cdc, making use of high throughput technologies, completed within	140	120	$63.57	$24.70
U0003 Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high throughput technologies as described by cms-2020-01-r	140	120	$250.00	$74.09
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	85	85	$423.06	$179.78
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	80	80	$289.75	$124.93
36415 Insertion of needle into vein for collection of blood sample	50	47	$18.00	$2.97
36561 Insertion of central venous catheter and implanted device for infusion beneath the skin, patient 5 years or older	46	46	$3025.00	$376.99
77001 Fluoroscopic guidance for insertion, replacement or removal of central venous access device	46	46	$65.00	$20.44
19301 Partial removal of breast	43	39	$2333.02	$787.30
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	36	32	$320.14	$137.93
81003 Automated urinalysis test	34	34	$10.00	$2.23
85027 Complete blood cell count (red cells, white blood cell, platelets), automated test	34	34	$19.00	$6.40
38900 Lymph node imaging during surgery	33	33	$450.76	$162.53
78195 Imaging of lymphatic tissue and lymph node	30	30	$770.00	$59.20
38525 Biopsy or removal of lymph nodes of under the arm, open procedure	29	29	$1571.90	$281.64
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	26	26	$545.00	$244.90
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	24	23	$385.00	$147.09
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	22	12	$200.00	$76.93
36590 Removal of peripheral venous catheter for infusion	21	21	$850.00	$259.84
80053 Blood test, comprehensive group of blood chemicals	20	20	$36.00	$10.43
80048 Blood test, basic group of blood chemicals (calcium, total)	19	19	$31.00	$8.39
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	19	18	$510.00	$199.82
87077 Bacterial culture for aerobic isolates	14	12	$25.00	$7.96
19125 Removal of breast growth, open procedure	11	11	$1403.64	$517.90
93000 Routine ekg using at least 12 leads including interpretation and report	11	11	$60.00	$16.22
87186 Evaluation of antimicrobial drug (antibiotic, antifungal, antiviral), microdilution or agar dilution	11	11	$25.00	$8.52
84520 Urea nitrogen level to assess kidney function	11	11	$13.00	$3.92
82565 Blood creatinine level	11	11	$15.00	$5.08

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	1,540	914	$221.16	$101.09
U0003 Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high throughput technologies as described by cms-2020-01-r	98	88	$250.00	$75.00
U0005 Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, cdc or non-cdc, making use of high throughput technologies, completed within	97	87	$60.00	$25.00
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	96	96	$413.91	$187.59
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	68	68	$280.00	$124.46
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	63	32	$200.00	$78.64
36561 Insertion of central venous catheter and implanted device for infusion beneath the skin, patient 5 years or older	59	58	$3025.00	$378.94
77001 Fluoroscopic guidance for insertion, replacement or removal of central venous access device	59	58	$65.00	$20.83
36415 Insertion of needle into vein for collection of blood sample	56	50	$18.00	$3.00
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	51	42	$318.04	$142.32
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	46	45	$385.00	$149.34
19301 Partial removal of breast	35	33	$2296.29	$780.61
38900 Lymph node imaging during surgery	33	33	$425.00	$162.79
78195 Imaging of lymphatic tissue and lymph node	33	33	$770.00	$61.78
81003 Automated urinalysis test	32	30	$10.00	$2.20
38525 Biopsy or removal of lymph nodes of under the arm, open procedure	31	31	$1530.00	$310.07
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	27	24	$482.22	$201.51
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	26	26	$539.62	$247.66
82565 Blood creatinine level	23	23	$15.00	$5.12
84520 Urea nitrogen level to assess kidney function	23	23	$13.00	$3.95
80048 Blood test, basic group of blood chemicals (calcium, total)	19	19	$31.00	$8.46
85027 Complete blood cell count (red cells, white blood cell, platelets), automated test	18	18	$19.00	$6.22
93000 Routine ekg using at least 12 leads including interpretation and report	16	16	$60.00	$16.37
80053 Blood test, comprehensive group of blood chemicals	14	13	$36.00	$10.04
G0008 Administration of influenza virus vaccine	14	14	$45.00	$18.62
19125 Removal of breast growth, open procedure	13	13	$1400.00	$545.22
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	12	12	$31.00	$7.77
99221 Initial hospital inpatient care per day, typically 30 minutes	11	11	$285.00	$111.94

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	1,384	852	$181.68	$81.83
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	76	76	$395.33	$176.53
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	66	66	$269.55	$118.21
36561 Insertion of central venous catheter and implanted device for infusion beneath the skin, patient 5 years or older	55	55	$3025.00	$384.20
77001 Fluoroscopic guidance for insertion, replacement or removal of central venous access device	54	54	$65.00	$20.46
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	45	26	$173.33	$78.86
G0008 Administration of influenza virus vaccine	43	43	$45.00	$17.85
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	33	31	$331.82	$151.31
36415 Insertion of needle into vein for collection of blood sample	31	28	$18.00	$2.99
78195 Imaging of lymphatic tissue and lymph node	31	31	$770.00	$63.16
38900 Lymph node imaging during surgery	30	30	$425.00	$162.10
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	30	30	$112.00	$49.48
19301 Partial removal of breast	27	24	$1910.85	$780.33
38525 Biopsy or removal of lymph nodes of under the arm, open procedure	26	26	$1275.58	$274.27
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	26	24	$261.15	$117.40
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	25	25	$497.40	$228.35
90686 Vaccine for influenza for administration into muscle, 0.5 ml dosage	23	23	$40.00	$19.58
81003 Automated urinalysis test	20	20	$10.00	$2.24
90662 Influenza vaccine split virus, preservative free	20	20	$100.00	$59.76
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	18	18	$31.00	$7.75
99442 Telephone medical discussion with physician, 11-20 minutes	17	17	$165.59	$81.25
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	16	15	$350.63	$160.06
19125 Removal of breast growth, open procedure	13	13	$1400.00	$492.83
82565 Blood creatinine level	13	13	$15.00	$5.10
84520 Urea nitrogen level to assess kidney function	13	13	$13.00	$3.93
80048 Blood test, basic group of blood chemicals (calcium, total)	12	12	$31.00	$8.43

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	1,549	871	$169.74	$78.85
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	90	38	$164.72	$77.05
G0008 Administration of influenza virus vaccine	85	85	$41.00	$17.52
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	76	76	$250.00	$115.83
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	69	69	$372.97	$173.19
90686 Vaccine for influenza for administration into muscle, 0.5 ml dosage	62	62	$40.00	$18.65
36415 Insertion of needle into vein for collection of blood sample	55	51	$18.00	$2.94
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	50	49	$304.60	$145.29
36561 Insertion of central venous catheter and implanted device for infusion beneath the skin, patient 5 years or older	49	49	$3025.00	$367.96
77001 Fluoroscopic guidance for insertion, replacement or removal of central venous access device	49	49	$65.00	$19.91
38900 Lymph node imaging during surgery	36	35	$425.00	$154.21
78195 Imaging of lymphatic tissue and lymph node	35	34	$770.00	$62.54
38525 Biopsy or removal of lymph nodes of under the arm, open procedure	35	34	$1215.00	$278.42
19301 Partial removal of breast	33	33	$1785.70	$737.91
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	31	28	$246.29	$115.71
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	28	28	$463.75	$220.16
84520 Urea nitrogen level to assess kidney function	27	26	$13.00	$4.30
82565 Blood creatinine level	27	26	$15.00	$5.58
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	26	22	$99.23	$48.28
90662 Influenza vaccine split virus, preservative free	23	23	$100.00	$54.89
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	23	21	$330.00	$154.97
36590 Removal of peripheral venous catheter for infusion	21	21	$850.00	$242.56
19125 Removal of breast growth, open procedure	18	18	$1400.00	$467.55
85027 Complete blood cell count (red cells, white blood cell, platelets), automated test	17	17	$19.00	$7.04
80053 Blood test, comprehensive group of blood chemicals	16	16	$36.00	$11.51
81003 Automated urinalysis test	14	13	$10.00	$2.44

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	1,488	822	$156.44	$76.49
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	96	42	$150.00	$76.28
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	93	93	$231.77	$113.98
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	90	90	$354.56	$170.26
77001 Fluoroscopic guidance for insertion, replacement or removal of central venous access device	71	71	$65.00	$19.62
36561 Insertion of central venous catheter and implanted device for infusion beneath the skin, patient 5 years or older	71	71	$3025.00	$365.67
38900 Lymph node imaging during surgery	60	60	$439.17	$154.06
78195 Imaging of lymphatic tissue and lymph node	60	60	$698.75	$61.64
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	57	52	$94.26	$45.86
38525 Biopsy or removal of lymph nodes of under the arm, open procedure	56	56	$1258.39	$253.51
19301 Partial removal of breast	53	48	$1756.89	$725.83
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	53	52	$275.85	$143.50
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	53	51	$230.66	$111.55
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	45	45	$430.00	$218.23
36415 Insertion of needle into vein for collection of blood sample	42	38	$18.00	$2.94
90686 Vaccine for influenza for administration into muscle, 0.5 ml dosage	38	38	$40.00	$18.65
G0008 Administration of influenza virus vaccine	38	38	$40.00	$21.66
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	31	30	$301.94	$152.66
36590 Removal of peripheral venous catheter for infusion	23	23	$850.00	$229.43
80053 Blood test, comprehensive group of blood chemicals	21	21	$36.00	$12.78
19125 Removal of breast growth, open procedure	21	21	$1466.67	$501.21
82565 Blood creatinine level	18	17	$15.00	$6.20
84520 Urea nitrogen level to assess kidney function	18	17	$13.00	$4.78
85027 Complete blood cell count (red cells, white blood cell, platelets), automated test	18	18	$19.00	$7.82
81003 Automated urinalysis test	17	17	$10.00	$2.71
99221 Initial hospital inpatient care per day, typically 30 minutes	16	16	$201.88	$106.80
47562 Removal of gallbladder using an endoscope	14	14	$2160.00	$691.48
19303 Total removal of breast	12	12	$3079.17	$1136.29

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	1,429	769	$154.58	$76.39
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	127	127	$230.95	$112.51
36561 Insertion of central venous catheter and implanted device for infusion beneath the skin, patient 5 years or older	70	70	$3025.00	$367.08
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	67	63	$92.28	$45.83
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	63	63	$350.00	$172.82
77001 Fluoroscopic guidance for insertion, replacement or removal of central venous access device	62	62	$65.00	$19.99
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	53	30	$150.00	$75.38
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	49	43	$225.00	$111.50
36415 Insertion of needle into vein for collection of blood sample	43	39	$18.00	$2.94
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	43	43	$424.07	$213.44
38900 Lymph node imaging during surgery	42	42	$435.12	$155.35
78195 Imaging of lymphatic tissue and lymph node	41	41	$485.00	$61.90
19301 Partial removal of breast	40	38	$1665.63	$723.09
38525 Biopsy or removal of lymph nodes of under the arm, open procedure	39	39	$1246.15	$275.07
90686 Vaccine for influenza for administration into muscle, 0.5 ml dosage	32	32	$40.00	$18.65
G0008 Administration of influenza virus vaccine	32	32	$40.00	$26.91
99221 Initial hospital inpatient care per day, typically 30 minutes	31	31	$198.71	$106.86
82565 Blood creatinine level	24	23	$15.00	$3.75
84520 Urea nitrogen level to assess kidney function	24	23	$13.00	$3.25
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	21	21	$275.00	$143.61
19125 Removal of breast growth, open procedure	18	18	$1400.00	$490.05
36590 Removal of peripheral venous catheter for infusion	16	16	$850.00	$240.40
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	15	15	$300.00	$144.45
47562 Removal of gallbladder using an endoscope	12	12	$2125.00	$721.08
19303 Total removal of breast	11	11	$3238.64	$1256.16

Medical Specialties & State Licenses

CMS Verified: 2020-10-02

Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

State License NY 191650

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

Surgery - Surgical Oncology

NUCC Taxonomy Code: 2086X0206X

State License NY 191650

A surgical oncologist is a well-qualified surgeon who has obtained additional training and experience in the multidisciplinary approach to the prevention, diagnosis, treatment, and rehabilitation of cancer patients, and devotes a major portion of his or her professional practice to these activities and cancer research.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

02148561 (NY)

Hospital & Practice Group Affiliations

Crystal Run Healthcare Physicians Llp

300 Crystal Run Rd, Middletown, NY 109414069

Phone: 8456926999

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners

Richard Escano , PT

Physical Therapist

NPI 1003018722

Physical Therapist

Dr. Rafeel Syed , MD

Internal Medicine - Nephrology

NPI 1003190711

Doctor of Medicine (M.D.)

Alexandriah Sabarese , AGACNP-BC

Nurse Practitioner - Acute Care

NPI 1003460338

Adult-Gerontology Acute Care Nurse Practitioner (Board Certified)

Dr. Nancy Linneman , MD

Internal Medicine - Pulmonary Disease

NPI 1003816604

Doctor of Medicine (M.D.)

Chiquita Houston-Armstrong , NP

Nurse Practitioner - Family

NPI 1003826132

Nurse Practitioner

Dr. Peggy Nelson , MD

Internal Medicine - Endocrinology, Diabetes & Metabolism

NPI 1013000629

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) October 02, 2020

Surgery (License #191650 in NY)

✅

NPI Profile Active November 18, 2009

NPI status registered as active in NPPES database

📍

Updated Practice Location November 18, 2009

Registered at 95 CRYSTAL RUN RD, MIDDLETOWN, NY 109417001 (Tel: 8457036999)

📍

Updated Business Mailing Address November 18, 2009

Registered at 155 CRYSTAL RUN RD, MIDDLETOWN, NY 109414028 (Tel: 8457036999)

👤

Provider Name / Credentials Updated November 18, 2009

Recorded as HOWARD KARPOFF, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) November 18, 2009

Surgery (License #191650 in NY)

🟢

Initial NPI Registration & Enumeration August 24, 2005

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews

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NPI Administrative Meta

NPI Number: 1164415188

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: August 24, 2005

Last Update: October 02, 2020

Sole Proprietor: No

Update or Correct Profile

Mailing Address

155 Crystal Run Rd

Middletown, NY 109414028

Phone: 8457036999

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.